ABSTRACT
Se describe el caso clínico de un anciano de 72 años de edad, quien presentaba un tumor cutáneo dorsal maligno, por lo cual fue atendido de forma multidisciplinaria en 2 hospitales de la provincia de Santiago de Cuba. Dado el diagnóstico preoperatorio de epitelioma basocelular de piel se procedió a la extirpación del tumor de forma ambulatoria. El resultado del estudio anatomopatológico no confirmó dicho diagnóstico, pero sí corroboró que se trataba de un fibroxantoma atípico. Con los márgenes quirúrgicos de seguridad amplios se logró la curación del paciente.
The case report of a 72 years old man who presented a dorsal cutaneous neoplasm is described, reason why he was assisted in a multidisciplinary way in 2 hospitals from Santiago de Cuba. Given the preoperative diagnosis of skin basal cell epithelioma the tumor was removed in an ambulatory way. The result of the pathologic study didn't confirm this diagnosis, but it corroborated that it was an atypical fibroxanthoma. With the wide surgical margins of security the patient's cure was achieved.
Subject(s)
Skin Neoplasms/surgery , Skin Neoplasms/diagnosis , Aged , Carcinoma, Basal Cell/surgery , Carcinoma, Basal Cell/diagnosisABSTRACT
INTRODUÇÃO: O dorso nasal é um local comum para o desenvolvimento de neoplasias cutâneas, predominantemente o epitelioma basocelular. Em 1964, Barsky preconiza um retalho quadrangular do dorso nasal, com base na região glabelar, utilizando somente pele da região dorsal. Baseava-se em um procedimento simples recobrindo áreas cruentas até a ponta nasal, resultando em cicatrizes pouco perceptíveis. RELATO DE CASO: Paciente de 82 anos procurou o Serviço de Cirurgia Plástica do Hospital Universitário Maria Aparecida Pedrossian apresentando lesão em dorso nasal de aproximadamente 3 × 2 cm, ulcerada com base eritematosa e limites mal definidos. A técnica utilizada para correção da perda de substância foi o deslizamento de um retalho frontoglabelar com pedículo randomizado. A paciente evoluiu com viabilidade do retalho, apresentando restauração do dorso nasal e resultado estético satisfatório. CONCLUSÃO: Em decorrência da cor e textura adequadas da pele desta região, o retalho frontoglabelar é reconhecidamente uma excelente área doadora para cobertura do dorso do nariz.
INTRODUCTION: The nasal dorsum is a common location for the development of cutaneous tumors, predominantly basal cell epithelioma. In 1964, Barsky recommended a quadrangular flap for coverage of the nasal dorsum, taken from the glabellar region, to most closely match the skin of the dorsal region. This was based on a simple procedure for covering raw areas up to the nasal tip, resulting in less noticeable scars. CASE REPORT: An 82-year-old woman presented to the Plastic Surgery Service of the University Hospital Maria Aparecida Pedrossian with a lesion on the nasal dorsum of approximately 3 x 2 cm, ulcerated with an erythematous base, and ill-defined limits. A fronto-glabellar sliding flap was used to correct the loss of substance. The patient progressed with flap viability, restoration of the nasal dorsum, and satisfactory esthetic results. CONCLUSION: Owing to the color and texture of the skin from this region, the fronto-glabellar flap is an excellent donor area for coverage of the nasal dorsum.
Subject(s)
Humans , Female , Aged, 80 and over , History, 21st Century , Carcinoma, Basal Cell , Nose , Nose Deformities, Acquired , Plastic Surgery Procedures , Esthetics , Intraoperative Complications , Wounds and Injuries , Wounds and Injuries/surgery , Carcinoma, Basal Cell/surgery , Carcinoma, Basal Cell/pathology , Nose/anatomy & histology , Nose/abnormalities , Nose/surgery , Nose/pathology , Nose Deformities, Acquired/surgery , Nose Deformities, Acquired/pathology , Plastic Surgery Procedures/methods , Intraoperative Complications/surgeryABSTRACT
Background: The repair of defects secondary to excision of basal-cell epitheliomas can be a challenge. Aim: To report the experience with the repair of nasal defects using bilobed flaps. Material and Methods: Review of medical records of 10 patients in whom a basal-cell epithelioma was excised and the nasal defect was repaired using a bilobed flap. Results: In all patients, the flap allowed the repair of the defect using the own patient nasal skin, without complications. Conclusions: The bilobed flap is an excellent technique for the repair of medium size nasal defects secondary to excision of basal-cell epitheliomas.
Objetivo: La nariz es el área corporal con mayor incidencia de epiteliomas basocelulares y la reparación de los defectos secundarios a su resección, puede ser un desafío. El objetivo es presentar nuestra experiencia en la reparación de defectos nasales, empleando colgajos bilobulados. Material y Método: Se realizó una revisión retrospectiva de 10 pacientes con epiteliomas basocelulares nasales en que empleamos este colgajo. Resultados: En todos los pacientes el colgajo bilobulado permitió la reparación del defecto, con la propia piel nasal y sin complicaciones. Conclusiones: Consideramos al colgajo bilobulado como una excelente técnica para la reparación de defectos nasales de mediano tamaño, secundarios a la resección de epiteliomas basocelulares.
Subject(s)
Humans , Male , Adult , Female , Middle Aged , Carcinoma, Basal Cell/surgery , Nose Neoplasms/surgery , Surgical Flaps , Retrospective StudiesABSTRACT
Se presentan 4 casos clínicos de pacientes de 46-76 años con carcinomas basocelular y escamoso de párpado inferior, diagnosticados en la consulta oftalmológica del Hospital General Docente "Dr. Juan Bruno Zayas Alfonso". A los afectados se le realizó tarsectomía parcial o total con reconstrucción palpebral mediante colgajos miocutáneos en islas de área cigomática y músculo nasal. Los resultados tanto funcionales como estéticos fueron óptimos y se corroboró la efectividad de los colgajos antes citados.
Four case reports of patients of 46-76 years with squamous-cell carcinoma and basal-cell epithelioma of lower eyelid was described, diagnosed in the ophthalmology department of "Dr. Juan Bruno Zayas Alfonso" Teaching General Hospital. In those affected a partial or total tarsectomy with eyelid reconstruction by means of island myocutaneous flaps of zygomatic area and nasal muscle was performed. The functional and aesthetic results were optimal and the effectiveness of these flaps was confirmed.
ABSTRACT
Se efectuó un estudio observacional, descriptivo y transversal de 61 pacientes con tumores palpebrales malignos, atendidos en la consulta de Oftalmología del Instituto Nacional de Oncología y Radiobiología de Ciudad de La Habana, durante el 2011, a fin de caracterizarles según variables clinicoepidemiológicas de interés para la investigación. En la serie, los más afectados fueron el sexo masculino (68,6 por ciento) y los pacientes de piel blanca (86,9 por ciento); predominaron el grupo etario de 61-70 años (37,0 por ciento), el carcinoma basocelular como el tumor palpebral maligno más frecuente (73,8 por ciento) y la agricultura como la labor fundamental que realizaban los enfermos (67,2 por ciento)
An observational, descriptive and cross-sectional study was conducted in 61 patients with malignant eyelid tumors, treated at the Ophthalmology Department of the National Institute of Oncology and Radiobiology, Havana, during 2011, in order to characterize them according to clinical and epidemiological variates of interest to research. Male sex (68.6 percent) and white patients (86.9 percent) were the most affected in the series. Also, the age group of 61-70 years (37.0 percent), basal cell epithelioma as the most frequent malignant eyelid tumor (73.8 percent) and agriculture as the essential work performed by patients (67.2 percent) prevailed
Subject(s)
Aged , Carcinoma, Basal Cell/epidemiology , Carcinoma, Squamous Cell/epidemiology , Eyelid Neoplasms , Eyelid Neoplasms/prevention & control , Cross-Sectional Studies , Epidemiology, Descriptive , Observational Studies as TopicABSTRACT
Nevus sebaceous (NS) is a congenital hamartomatous disorder of the skin and its adnexa, usually involving the scalp or the face. It characteristically evolves and changes morphology with time. Various benign and malignant neoplasms can develop in association with NS. Most common benign or malignant tumors developed within the NS are syringocystadenoma papilliferum and trichoblastoma or basal cell epithelioma. We now report a case of NS associated with sebaceous adenoma, basal cell epithelioma, and eccrine poroma in a 63 year old male.
Subject(s)
Humans , Male , Adenoma , Carcinoma , Carcinoma, Basal Cell , Nevus , Poroma , Scalp , SkinABSTRACT
Nevus sebaceous (NS) is a congenital hamartomatous disorder of the skin and its adnexa, usually involving the scalp or the face. It characteristically evolves and changes morphology with time. Various benign and malignant neoplasms can develop in association with NS. Most common benign or malignant tumors developed within the NS are syringocystadenoma papilliferum and trichoblastoma or basal cell epithelioma. We now report a case of NS associated with sebaceous adenoma, basal cell epithelioma, and eccrine poroma in a 63 year old male.
Subject(s)
Humans , Male , Adenoma , Carcinoma , Carcinoma, Basal Cell , Nevus , Poroma , Scalp , SkinABSTRACT
Basal cell epithelioma(BCE) is the most common malignant tumor of the skin, and locally invasive neoplasm, rarely metastatic, yet capable of significant local destruction and disfigurement. Radiotherapy has been reported to have high local cure rate and good cosmetic results in the treatment of BCE, and therefore may be an alternative treatment when excision is not functionally or cosmetically feasible, especially in the high risk areas. We report a 73-year-old female with locally invasive BCE presented as a subcutaneous mass on the left nasolabial fold area.
Subject(s)
Aged , Female , Humans , Carcinoma, Basal Cell , Nasolabial Fold , Radiotherapy , SkinABSTRACT
In about 20 to 30 percent of cases with organoid nevus (nevus sebaceus), benign and/or ma-al lignant tumors of the epidermis and adnexae may develop. We describe a 71-year-old woman with sebaceous carcinoma and basal cell epithelioma developed in organoid nevus.
Subject(s)
Aged , Female , Humans , Carcinoma, Basal Cell , Epidermis , Nevus , OrganoidsABSTRACT
BACKGROUND: Clinical features of basal cell epithelioma(BCE) are known to be different according to social and environmental factors. Recently, there have been reports of an increase of BCE in the Chung-Nam area. OBJECTIVE: We evaluated the incidence of tumors, age and sex distribution, and tumor sites. METHODS: Clinical records were reviewed for 153 cases of BCE with a histologically confirmed diagnosis for patients who visited the Department of Dermatology, Chungnam National University Hospital during the 20 years from 1978 to 1997. Pathologic characteristics were also reviewed. RESULTS: The frequency of BCE expressed as a percentage of the total number of new patients increased from 0.10% in 1978 to 0.76% in 1997. The ratio of man to woman with BCE was 1 : 1.1 with a mean age of 61.8 years. Most cases of BCE were on the face (90.8%), especially on the nose (29%). The solid type (66.7%) was the most common pathologic pattern, followed by the adenoid type (9.7%), and the morpheic type (8.6%). The pigmented type of BCE accounted for 41.9%. CONCLUSION: The incidence of BCE has increased during the past 20 years. However, the age of occurrence, common site, and pathologic patterns did not show a significant difference from Caucasians, except for a higher frequency of pigmented type BCE, as can be expected in oriental people.
Subject(s)
Female , Humans , Adenoids , Carcinoma, Basal Cell , Dermatology , Diagnosis , Incidence , Nose , Sex DistributionABSTRACT
A 40-year-old woman presented with a pruritic erythematous eroded patch on the right labium majus which had been for 3 years. Histopathological findings were consistent with superficial basal cell epithelioma. Basal cell epithelioma of the labium majus is a rare neoplasm and its clinical appearance is usually nodular. In contrast to the other types of basal cell epithelioma, the superficial type occurs mainly on the trunk. We report a case of superficial basal cell epithelioma arising from the labium majus.
Subject(s)
Adult , Female , Humans , Carcinoma, Basal Cell , Cytochrome P-450 CYP1A1ABSTRACT
Basaloid follicular hamartoma(BFH) is a rare, benign adnexal tumor with a wide clinical appearance spectrum. A characteristic finding is multifocal islands in the papillary dermis and branching cords of basaloid epithelial cells in continuity at various sites with the basal layer of the epidermis and the hair follicles. We present a case of basaloid follicular hamartoma combined with basal cell epithelioma that developed on the tip of the nose in a 75-year-old man. To our knowledge, this is the first case report of basaloid follicular hamartoma combined with basal cell epithelioma in the Korean literature.
Subject(s)
Aged , Humans , Carcinoma, Basal Cell , Dermis , Epidermis , Epithelial Cells , Hair Follicle , Hamartoma , Islands , NoseABSTRACT
The potential for sebaceous nevi to evolve into secondary benign or malignant EuIror is well recognized. In general, malignant transformation does not occur until postpubertal life. We experienced a case of basal cell epithelioma arising in a nevus sebaceous on a 12-year-old boy´s parietal scalp. We recommended that surgical excision should be undertaken as early as possible to detect the malignant transformation of nevus sebaceous.
Subject(s)
Child , Humans , Carcinoma, Basal Cell , Nevus , Rabeprazole , ScalpABSTRACT
We report a case of nevus sebaceus associated with sebaceous epithelioma and basal cell epithelioma in a 48-year-old male patient. A 2.6 x 2.0cm orange-yellow erosive tumor and 1.5 x 1.0cm, l.0 x 0.8cm dark blue-yellow varigated nodules were intimately associated with a 4 x 3cm sized yellowish verrucous plaque on the parieto-occipital area of the scalp. Biopsy revealed sebaccous epithelioma, basal cell epithelioma and nevus sebaceus, respectively.
Subject(s)
Humans , Male , Middle Aged , Biopsy , Carcinoma , Carcinoma, Basal Cell , Nevus , ScalpABSTRACT
Modified Mohs surgery is a procedure which eliminated chemical fixation step from Mohs chemosurgery. This technique is faster, less painful and more tissue conserving, allows for immediste repairs, yields higher quality histologic preparations and facilitates an interdisciplinary apporoach; it is the treatment of choice for recurrent or difficult skin cancers. A 58-year-old femele patient presented with a 2x 3cm sized dark brownish, ulcerated nodule on the left upper eyelid. Histopathologic findings revealed several small solid nest composed of basalioma cells in the dermis. We treated with modified Mohs surgery and obtained good result.
Subject(s)
Humans , Middle Aged , Carcinoma, Basal Cell , Dermis , Eyelids , Mohs Surgery , Skin Neoplasms , UlcerABSTRACT
Porokeratosis may be due to an abnormal clone of cells, predisposing affected individusls to development of malignant neoplssm over involved area. A 58-year old female is prsented with basal cell epithelioma associated with PPPD, exhibiting the classical histopathologic criteria of the disease. Total excision for basal cell epithelioma and oral administration of etretinate for the treatment of porokeratosis plantaris, palmaris et disseminata and for the prevention of cancer developrnent resulted in good response.
Subject(s)
Female , Humans , Middle Aged , Acitretin , Administration, Oral , Carcinoma, Basal Cell , Clone Cells , Etretinate , PorokeratosisABSTRACT
Xeroderma pigmentosurn is a photosensitive hereditary disorder and especially rare in Korea. A 30-year old male patient had been suffered from walnut sized tumor and several ulcerated papules on the face, and scattered brownish macules on the sun-exposed area. Clinical features and histopathologic findings were consistent with malignant malanoma and basal cell epithelioma developing in a xeroderma pigmentosum respectively. Malignant melanoma was surgically excised.
Subject(s)
Adult , Humans , Male , Carcinoma, Basal Cell , Ichthyosis , Juglans , Korea , Melanoma , Ulcer , Xeroderma PigmentosumABSTRACT
An 89-Year-old female patient had had a pea-sized encrusted ulcer on the vermillion border of her right upper lip for 4 years. Histopathological features of the biopsy specimen consisted of tumor islands with peripheral, palisading basaloid cells, some of which had become transformed into atypical, dyskeratotic squamous cells with ample eosinophilic cytoplasm in their centers. Total excision was advised.
Subject(s)
Aged, 80 and over , Female , Humans , Biopsy , Carcinoma, Basal Cell , Carcinoma, Basosquamous , Cytoplasm , Eosinophils , Islands , Lip , UlcerABSTRACT
Various epidermal changes overlying a dermatofibroma can be induced through the proliferation of pluripotential epidermal cells by the stimulation of mesenchymal factors. The authors report a case of dermatofibroma in a 55-year-old male who had a reddish brown, asymptomatic nodule of 5 years duration on his left forearm. The biopsy specimen revealed a dermatofibroma of cellular type associated with epidermal changes: (1) acanthosis; (2) elongation of rete ridges; (3) thin interlacing epidermal strands with increased pigmentation resembling seborrheic keratosis or fibroepithelioma; (4) immature hair follicles and sebaceous lobules; (5) hair germ like buddings; (6) superficial basal cell epithelioma-like proliferations.